Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Lynda Crawford

Abstract

Hypertension (HTN) is a preventable disease; however, the prevalence of HTN continues to increase, especially in minority populations. Without adequate interventions, this disease can lead to severe complications such as heart disease, stroke, and death.

The United States is home to a large population of Afro-Caribbean immigrants of Non-Hispanic origin and the prevalence of this disease is high among this group. Although HTN is the leading health challenge for Afro-Caribbean immigrants of non-Hispanic origin, there were limited studies that identify nonpharmacological strategies, clinical practice guidelines, or educational programs (CPG-EP) to manage HTN in this population. This project seeks to discover effective nonpharmacological strategies that can be used to normalize blood pressure in Afro-Caribbean immigrants of non-Hispanic origin diagnosed with HTN. The transcultural nursing theory and the health belief model guided the project design. The purpose of this project was to complete a systematic review of the literature to identify the most efficacious non-pharmacological strategies to guide the future development of a CPG-EPs for HTN tailored for Afro-Caribbean immigrants of non-Hispanic origin. The systematic review was conducted using the method developed by the Joanna Briggs Institute [JBI]. Studies were triaged using the American Association of Colleges of Nursing (AACN) level of evidence and data were recorded utilizing the PRISMA 4 phase flow diagram. This doctoral project will result in positive social change through improved health care of Afro-Caribbean immigrants of non-Hispanic origin in the United States and serve as a model for care at the national and international levels.

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